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Assessment of knowledge of midwives about the scope of professional responsibility under the amended provisions of law

100%
Belowska J., Dykowska G., Sienkiewicz Z., Gotlib J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 1
21-25
EN
Introduction. To work safely, knowledge of law is crucial for midwives who should be familiar with the midwife’s rights and duties as well as their professional responsibility. Aim. Assessment of knowledge of midwives about their professional responsibility. Material and methods. A total of 103 MA Midwifery students of the Medical University of Warsaw, including 55 working and 48 not working as midwives. A diagnostic poll, original anonymous questionnaire, 25 close-ended questions, 8 openended questions. Statistical analysis: STATISTICA 10.0, Mann-Whitney U test, p<0.05. Results. Seventy-one percent of the study participants had knowledge of the binding provisions of law and 83% considered this kind of knowledge as necessary in their professional activity. Twenty-four percent of the total did not know any legal regulations. Thirty percent was not familiar with the Nurses and Midwives Act. Only 52% of the study participants were knowledgeable about the legal protection of midwives and indicated the protection established for public officers. Forty-six percent of the total said that the Act on Professional Self-Government of Nurses and Midwives of July 1st, 2011 regulates the issue of self-governance. As many as 30 study participants knew that membership in the self-governing body of midwives is obligatory. Conclusions. Knowledge of nurses about professional responsibility under amended provisions of law is insufficient and does not improve with experience as a midwife. Due to the fact that new acts on professional responsibility of midwives were implemented in Poland beginning in January 1st, 2012, it is advisable to extend qualifications and knowledge of midwives in order to improve their knowledge of professional issues. Midwives should constantly update their knowledge of legal regulations on their profession
2
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Comparison of Knowledge and Attitudes Towards the Use of Scientific Research in Clinical Practice Among Departmental and Charge Nurses

100%
Belowska J., Panczyk M., Gotlib J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 3
138-144
EN
Introduction. The awareness of benefits arising from the use of the latest results of scientific research (EBNP – Evidence-Based Nursing Practice) among departmental and charge nurses is a necessary condition to ensure effective and safe health services and nursing care meeting the highest standards of patient care. Aim. The comparison of knowledge of and attitudes towards EBNP among nurses depending on their position. Material and methods. Twenty one departmental nurses (PO) (mean age 50.38 years, min. 37, max. 62, SD=7.35) and 20 Bachelor's degree students of a bridge programme (SSP) (mean age 43 years, min. 34, max. 55, SD=6.37). Qualitative study and analysis of the results, structured interview, extended focus. Results. PO and SSP were not able to define the acronyms EBM and EBP correctly and did not have detailed knowledge of the criteria for assessment of reliability of scientific literature. A majority of DN was familiar with the available journals for nurses and was aware of benefits resulting from using EBNP. The use of EBNP in everyday clinical practice in SSP group was limited by a lack of time, insufficient knowledge of English and access to the Internet, as well as working at the position that makes taking decisions on developing procedures and standards for nursing care impossible. Conclusions. 1. The level of knowledge about EBNP in both groups was inadequate and needs urgent supplementation of knowledge and skills of nurses with reference to this subject area. 2. The attitudes of nurses towards EBNP were different depending on their work position. Departmental nurses were aware of benefits resulting from using the most recent study results in everyday clinical practice and being up-to-date with medical knowledge. 3. The boundaries limiting the use of EBNP in everyday clinical practice by the study participants were objective and they require system changes with reference to the organization of work and the system of continuing education.
3
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Assessment of medical personnel knowledge about the function of transplant coordinator with reference to current Polish legislation

88%
Watrakiewicz-Hurko O., Belowska J., Sienkiewicz Z., Dykowska G., Gotlib J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 1
14-20
EN
Introduction. Initially, a transplant coordinator assisted in the process of removal and transplantation of organs. The most important rule in the Polish legislation is the Act of July 17th, 2009, amending the Act on removal, preservation, and transplantation of cells, tissues, and organs. Professional qualifications of a transplant coordinator are specified by the Regulation of the Minister of Health of December 4th, 2009 on detailed conditions of removal, preservation, and transplantation of cells, tissues, and organs. Aim. The study aimed to assess the knowledge of medical personnel about the function of a transplant coordinator with reference to the current Polish legislation. Material and methods. The study was conducted in April 2013 among 100 selected health professionals (25 physicians, 62 nurses, and 13 persons representing other medical professions) with the use of a questionnaire comprising 42 close-ended simple choice questions and one multiple-choice question. They were referring to various aspects associated with the legal axiology of transplantation, procedure of organ donation, and tasks of a donation coordinator, as well as one open-ended question about the age of respondents. Results. Statistically significant differences between the occupational groups were found in relation to questions about legal and medical aspects. As many as 21 nurses (34%), 26 physicians (92%), and 6 persons representing other medical professions (46%) (p<0.000) provided the correct answer to a question referring to determination of death, and 19 nurses (31%), 7 physicians (28%), and 5 persons representing other medical professions (p<0.021) answered correctly to a question about the key premise to determine brain death. Conclusions. 1. The knowledge of medical personnel about the function of a transplant coordinator and the legal provisions concerning brain death determination needs to be supplemented. 2. There is a need of constantly supplementing knowledge of medical personnel about the clinical aspects of transplantation
4
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The Analysis of Opinions and Attitudes of Students of Nursing with Respect to the Observance of Patient's Rights in Poland

76%
Belowska J., Panczyk M., Sienkiewicz Z., Kaczyńska A., Zarzeka A., Gotlib J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 4
209-214
EN
Introduction. As these define the status of the patient during the provision of health services, patients' rights are a very important component of Poland's medical law. The observance of these rights is a prerequisite for the proper performance of the nursing profession. Theoretical and practical preparation in this area is thus already a necessity in the students' education process. Aim. The aim of the study was to analyze the opinions and attitudes of nursing students with respect to problems in the field of the observance of the rights of patients in Poland. Material and methods. The study was built upon the opinions expressed by 375 students (362 women and 13 men) of the first and second year. These were full-time and part-time students in master's studies in nursing, of the Faculty of Health Science, Medical University of Warsaw. The study employed a qualitative and quantitative analysis of the content of essays. Results. The results of the study indicate that 59 percent of the respondents report being frequent witnesses of violation of patient's rights. In particular, that which noted were the rights to privacy and dignity (98%), to receive sought-after information (91%) and to suitable health-care (85%). Another right seen to have been violated in the respondents' workplace was the patient's right to the maintenance of the confidentiality of patient-related information by medical personnel (77%). The respondents, while seeing violation of the patient's rights by other employees, declared their own adherence to these rights in their own professional practice. Conclusions. 1. The majority of the study group repeatedly witnessed violation of patients' rights. It would, therefore, be advisable to monitor the observance of the rights of patients by medical personnel, and to see to the professional liability of those who flagrantly breaking the law. 2. Research findings indicate that ethics should be given more emphasis in teaching future health professionals in the course of their medical studies. 3. The analysis of the available literature and our own study show that the share of medical personnel in providing information about the patients' rights is minimal. It would be advisable for medical personnel to be given an opportunity to acquire new skills and competences in this field. 4. Awareness of the existence and knowledge of the patient's rights, not only among medical students and health professionals, but also among patients, is crucial to their observance by the former and their exercise by the latter. It should, therefore, be spread and raised. 5. Training and thematic courses in patient's rights should be provided in order to enable medical personnel to acquire new skills and competences in this field, with the end result of improving their observance of patient's rights. 6. A qualitative analysis constitutes an innovative and effective way of carrying out research and interpreting research findings, being a valuable and reasonable method of conducting a survey, and in exploring the attitudes of students and health-care workers towards patient's rights.
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NURSE PRESCRIBING. THE KNOWLEDGE OF NURSING AND MIDWIFERY STUDENTS REGARDING NEW PROFESSIONAL COMPETENCES. POLAND-WIDE MULTICENTER STUDY.

64%
Zarzeka A. A., Panczyk M., Belowska J., Iwanow L., Cieślak I., Mazur N., Paz Lourido B., Gotlib J.
Acta Poloniae Pharmaceutica - Drug Research
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2018
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vol. 75
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issue 4
1031-1039
EN
Introduction Since 1 January 2016 certain groups of nurses and midwives (N&Ms) have been entitled to administer certain medicines to patients and issue perceptions for it (independent nurse prescribing - INP), issue prescriptions upon physician's order (supplementary nurse prescribing - SNP) and to refer patients to determined diagnostic tests. Students’ knowledge on the possibility and principles of nurse prescribing seems to be important. Aim of study To evaluate the knowledge of 1st year students of Bachelor’s studies in nursing and midwifery on the possibility and principles of prescribing authorities of N&Ms in Poland. Material and methods 2338 1st year students of Bachelor’s nursing (1941) and midwifery (398) studies from 26 state higher vocational schools of universities. Own questionnaire assessed in the pilot study; the internal reliability of measurement on the knowledge rating scale was estimated by calculating Cronbach’s alpha reliability coefficient Results Group of 11% to 64% (depending on a question) gave correct answers. 14 % knew criteria which N&Ms are required to meet in order to refer patients to diagnostic tests. Almost 2/3 of the interviewees also knew where to find the list of active substances allowed in medicines independently prescribed by N&Ms. The internal reliability of the knowledge rating scale was 0,389. Conclusions The knowledge of students regarding N&Ms’ prescribing powers is superficial, but most of respondents knew the crucial issues. It is necessary to correctly determine education standards and to focus on their implementation tools, so that those concerned could acquire desired competences during studies.
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